MS. MARY ALICE CHISHOLM (NPI# 1568530749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568530749 |
| Entity Type | Individual |
| Full Name | MS. MARY ALICE CHISHOLM |
| Credential | MALLP |
| Practice Address |
53950 Van Dyke Ave Suite 210b Shelby Township MI 48316-1819 |
| Mailing Address |
7902 Glacier Club Dr Washington MI 48094-2222 |
| Practice Telephone | 5867818400 |
| Practice Fax Number | 5867818300 |
| Mailing Telephone | 5867969293 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301089505 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295066793 | Mary Lee Chisholm | Social Worker | 5534 Spitfire Ct, Newport, MI 48166-9592 | 2010-01-22 |
| 1205969318 | Mary Catherine Chisholm | Audiologist | 880 W Central Rd Ste 4300, Arlington Heights, IL 60005-2381 | 2007-03-14 |
| 1912962663 | Mary F Chisholm | Anesthesiology | 535 E 70th St, Hss Dept. of Anesthesiology, New York, NY 10021-4823 | 2006-04-18 |
| Street Address |
53950 VAN DYKE AVE SUITE 210B |
| City | SHELBY TOWNSHIP |
| State | MI |
| Zip Code | 48316-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326177957 | Penelope Pigman | Psychologist | 53950 Van Dyke Ave, Suite 210b, Shelby Township, MI 48316-1819 | 2007-03-02 |
| 1972661122 | Sharon Nadine Rude | Psychologist | 53950 Van Dyke Ave, Suite 210b, Shelby Township, MI 48316-1819 | 2006-12-04 |
| 1114085107 | Samuel P Gross | Psychologist | 53950 Van Dyke Ave, Suite 210b, Shelby Township, MI 48316-1819 | 2006-12-04 |
| 1164513198 | Leo M Szalma | Psychologist | 53950 Van Dyke Ave, Shelby Township, MI 48316 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183552 | Jeffrey T Baker Dds PC | Dentist | 8152 25 Mile Rd Ste C, Shelby Twp, MI 48316 | 2020-08-05 |
| 1811459993 | Aspire Psychological Associates LLC | Psychologist | 53200 Van Dyke Ave, Suite 100, Shelby Twp, MI 48316 | 2019-04-05 |
| 1619445798 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 7542 26 Mile Road, Shelby, MI 48316 | 2018-11-07 |
| 1962929117 | Rosni Nair | Nurse Practitioner | 51562 Merry Lane, Shelby Twp, MI 48316 | 2017-08-28 |
| 1548797251 | Susan Dipple | Occupational Therapist | 2041 Crystal Lake Ct S Apt T-376, Shelby Township, MI 48316 | 2017-05-12 |
| 1396295101 | Nikkolas Lawrence Chronis | Pharmacist | 7609 Hartwick, Shelby Twp, MI 48316 | 2016-10-05 |
| 1871976373 | Michelle Lynn Maltese | Dentist | 4147 24 Mile Rd, Shelby Twp, MI 48316 | 2015-07-01 |
| 1750768222 | Michael Justin Ramar | Chiropractor | 2061 25 Mile Rd, Shelby Township, MI 48316 | 2015-05-04 |
| 1215362454 | Aa Transportation Group, LLC | Non-emergency Medical Transport (VAN) | 56516 Ashbrooke Dr W, Shelby Twp, MI 48316 | 2013-09-06 |
| 1932400348 | Rea Counseling Services, PC | Community/Behavioral Health | 51539 Van Dyke Ave, Shelby Twp, MI 48316 | 2010-11-16 |
| Find all providers in zip 48316 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437708815 | Jazmine Niyae Williams | Psychologist | 4943 Pebble Crk E Apt 12, Shelby Township, MI 48317-6202 | 2019-09-09 |
| 1093146433 | Edna Chang | Psychologist | 45670 White Oak Dr, Shelby Township, MI 48315-6035 | 2013-12-11 |
| 1225368889 | Abh Corporation | Psychologist | 51221 Schoenherr, Suite 107, Shelby Township, MI 48315 | 2010-01-05 |
| 1801099965 | Abaris Behavioral Health | Psychologist | 5010 S Nocturne Ln, Shelby Township, MI 48316-5232 | 2007-06-07 |
| 1245299361 | Gary Joseph Fusciardi | Psychologist | 8061 21 Mile Rd, Suite #4, Shelby Township, MI 48317-4311 | 2006-03-18 |
| 1578160347 | Kristine Burgess | Psychologist | 50258 Van Dyke Ave, Shelby Township, MI 48317-1374 | 2020-10-05 |
| 1639558620 | Alliance Psychological Services | Psychologist | 48562 Van Dyke Ave, Suite F, Shelby Township, MI 48317-3269 | 2015-05-22 |
| 1144647892 | Shelby Counseling, Inc. | Psychologist | 52188 Van Dyke Ave, Suite 320, Shelby Township, MI 48316-3567 | 2014-03-19 |
| 1548416464 | Christina Lynne Johnson | Psychologist | 47818 Van Dyke Ave, Shelby Township, MI 48317-3373 | 2008-08-12 |
| 1326177957 | Penelope Pigman | Psychologist | 53950 Van Dyke Ave, Suite 210b, Shelby Township, MI 48316-1819 | 2007-03-02 |
| Find all providers in SHELBY TOWNSHIP | ||||
| City | SHELBY TOWNSHIP |
| Zip Code | 48316 |
Please comment or provide details below to improve the information on MS. MARY ALICE CHISHOLM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.